| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.14 | $65.14 | $65.14 | |
Aetna
| Professional | $65.14 | $65.14 | $81.42 | |
Quartz
| Facility | $507.90 | $507.90 | $507.90 |
Sirolimus, Protein-Bound,1mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.14 | $65.14 | $65.14 | |
Aetna
| Professional | $65.14 | $65.14 | $81.42 | |
Quartz
| Facility | $507.90 | $507.90 | $507.90 |